Individual provider · Type 1 NPI

Danielle Fairbanks, PA-C

Physician Assistant · Mesa, AZ

NPI number 1083232177 Active

Practice location

1744 S Val Vista Dr Ste 5-108
Mesa, AZ 85204-7362

Fax (415) 252-7176

Mailing address

253 N Piedra
Mesa, AZ 85207-7561

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X8028 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083232177

Danielle Fairbanks, PA-C's National Provider Identifier is 1083232177, issued on Jul 6, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mesa, AZ. The record was last updated on Mar 17, 2025.